| NPI | 1215507058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5264C) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-07-04 |